NPI 1255584207
Amanda Caroline Ivy
Practice location
- Address
- 1804 Doughty Cir, West Point, MS 39773-4041
- Phone
- (662) 495-1120
- Fax
- (662) 495-1152
Registered specialties
Nurse's Aide
Primary
Registry record
- NPI
- 1255584207
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 3 Nov 2008
- Record last updated
- 28 May 2009
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.